Clifton Springs Hospital and Clinic
2 Coulter Road, Clifton Springs, NY · Rochesterregional · · NPI 1366505463
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $688.21 – $978.57 | 2 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $547.81 – $778.60 | 2 |
| Event monitor CPT 93270 | not published | not published | $6.75 – $13.74 | 3 |
| Evoked auditory tst complete CPT 92588 | $643.99 | $990.75 | $4.02 – $47.52 | 3 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $2.93 – $29.81 | 3 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $183.22 | $281.87 | $31.24 – $31.24 | 1 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $101.30 – $130.74 | 3 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $40.59 – $115.65 | 3 |
| Evok oa screening qual CPT 92558 | not published | not published | $9.96 – $9.96 | 1 |
| Ewhfo w/joint(s) cf HCPCS L3766 | $2,313.95 | $3,559.92 | $1,482.24 – $1,482.24 | 5 |
| Ewho w/joint(s) cf HCPCS L3764 | $1,652.64 | $2,542.53 | $1,058.65 – $1,058.65 | 5 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $66.43 – $94.35 | 2 |
| Exam pelvic add-on CPT 99459 | $46.85 | $72.07 | $14.19 – $25.56 | 2 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $79.19 – $110.89 | 2 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $425.00 – $604.55 | 2 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $531.99 – $769.57 | 2 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $539.48 – $785.70 | 2 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $348.27 – $486.61 | 2 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $444.86 – $623.99 | 2 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $520.85 – $736.50 | 2 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $318.78 – $450.02 | 2 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $261.52 – $365.75 | 2 |
| Exc aurl glomus tum extended CPT 69554 | not published | not published | $1,840.26 – $2,803.13 | 2 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $804.23 – $1,156.89 | 2 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $1,175.13 – $1,745.70 | 2 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $286.41 – $404.58 | 2 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $568.82 – $817.56 | 2 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $231.80 – $330.97 | 2 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $164.87 – $253.37 | 2 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $232.76 – $362.80 | 2 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $3,558.46 | $5,474.55 | $135.66 – $200.52 | 2 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $1,994.36 | $3,068.25 | $62.98 – $90.90 | 2 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $1,225.34 | $1,885.14 | $80.64 – $115.80 | 2 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $108.71 – $162.08 | 2 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $131.31 – $198.86 | 2 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $81.62 – $123.06 | 2 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $3,193.90 | $4,913.69 | $118.31 – $174.43 | 2 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $201.21 – $307.14 | 2 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $886.07 | $1,363.19 | $77.89 – $116.56 | 2 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $1,496.14 | $2,301.76 | $111.58 – $165.01 | 2 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $268.60 – $347.27 | 2 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $995.53 – $1,521.40 | 2 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $428.75 – $619.98 | 2 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $604.36 – $881.94 | 2 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $451.03 – $653.91 | 2 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $901.56 – $1,322.65 | 2 |
| Exc ch wal tum without lymphadec CPT 21602 | not published | not published | $1,242.67 – $1,777.10 | 2 |
| Exc ch wal tum w/lymphadec CPT 21603 | not published | not published | $1,357.46 – $1,964.79 | 2 |
| Exc coa rpr l subcl art/prst CPT 33851 | not published | not published | $985.84 – $1,409.47 | 2 |
| Exc coa w/direct anastomosis CPT 33840 | not published | not published | $961.25 – $1,372.73 | 2 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $598.54 – $874.32 | 2 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $509.58 – $687.27 | 2 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $646.81 – $857.37 | 2 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $414.55 – $590.59 | 2 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $565.51 – $814.95 | 2 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $651.02 – $957.69 | 2 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $485.15 – $690.81 | 2 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $504.00 – $717.70 | 2 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $330.23 – $489.46 | 2 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $462.02 – $651.78 | 2 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $691.66 – $1,042.10 | 2 |
| Exc excessive skin hip CPT 15834 | not published | not published | $664.63 – $990.77 | 2 |
| Exc excessive skin leg CPT 15833 | not published | not published | $653.33 – $970.40 | 2 |
| Exc excessive skin thigh CPT 15832 | not published | not published | $689.47 – $1,024.04 | 2 |
| Exc excsv skin forearm/hand CPT 15837 | not published | not published | $538.95 – $800.84 | 2 |
| Exc excsv submental fat pad CPT 15838 | not published | not published | $491.15 – $712.53 | 2 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | not published | not published | $246.99 – $358.71 | 2 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | $304.35 – $448.12 | 2 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | not published | not published | $393.03 – $581.42 | 2 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | $111.17 – $175.31 | 2 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | not published | not published | $159.74 – $257.68 | 2 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $348.21 – $513.82 | 2 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | $204.91 – $297.97 | 2 |
| Exc forearm les sc 3 cm/> CPT 25071 | not published | not published | $329.66 – $471.29 | 2 |
| Exc forearm tum deep < 3 cm CPT 25076 | not published | not published | $401.35 – $576.81 | 2 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | $414.61 – $593.39 | 2 |
| Exc hand les sc < 1.5 cm CPT 26115 | not published | not published | $262.74 – $369.85 | 2 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | not published | not published | $419.02 – $610.35 | 2 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | not published | not published | $404.17 – $586.47 | 2 |
| Exchange biliary drg cath CPT 47536 | $6,887.94 | $10,596.83 | $95.26 – $151.89 | 2 |
| Exchange blood transfusion newborn 36450 CPT 36450 | not published | not published | $121.02 – $196.67 | 2 |
| Exchange drainage catheter CPT 49423 | $3,605.15 | $5,546.38 | $50.57 – $81.90 | 2 |
| Exchange lens prosthesis CPT 66986 | not published | not published | $634.78 – $1,066.81 | 2 |
| Exchange nephrostomy cath CPT 50435 | $3,949.98 | $6,076.90 | $72.89 – $114.60 | 2 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | not published | not published | $198.06 – $269.28 | 2 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | not published | not published | $271.30 – $386.86 | 2 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | not published | not published | $229.13 – $312.28 | 2 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | not published | not published | $477.59 – $677.59 | 2 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | not published | not published | $563.49 – $823.69 | 2 |
| Excimer lsr psriasis 250-500 CPT 96921 | not published | not published | $39.18 – $74.66 | 2 |
| Excimer lsr psriasis<250sqcm CPT 96920 | not published | not published | $34.44 – $66.39 | 2 |
| Excimer lsr psriasis>500sqcm CPT 96922 | not published | not published | $62.65 – $120.68 | 2 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | not published | not published | $510.26 – $732.58 | 2 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | not published | not published | $272.86 – $394.67 | 2 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | not published | not published | $536.21 – $771.09 | 2 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | not published | not published | $1,582.75 – $2,319.03 | 2 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | not published | not published | $1,192.48 – $1,813.81 | 2 |
| Exc ischial pr ulc prim sutr CPT 15940 | not published | not published | $540.96 – $776.40 | 2 |
| Exc isch pr ulc prm sut ostc CPT 15941 | not published | not published | $709.01 – $1,009.57 | 2 |
| Exc isch pr ulc skn flp clsr CPT 15944 | not published | not published | $696.77 – $1,000.66 | 2 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.